| Breakthrough Mental Health Services Llc | |
|
203 E Main St West Plains MO 65775-3524 | |
| (417) 505-9843 | |
| Not Available |
| Full Name | Breakthrough Mental Health Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 203 E Main St, West Plains, Missouri |
| Authorized Official Name and Position | Megan York (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4177785033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Mental Health Services Llc Po Box 334 West Plains MO 65775-0334 Ph: (417) 778-5033 | Breakthrough Mental Health Services Llc 203 E Main St West Plains MO 65775-3524 Ph: (417) 505-9843 |
| NPI Number | 1609435015 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 09/18/2019 |
| Medicare PECOS PAC ID | 8820329089 |
|---|---|
| Medicare Enrollment ID | O20191019000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609435015 | NPI | - | NPPES |
| 2006018050 | Medicaid | MO | |
| 612447 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Megan E York |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962643064 PECOS PAC ID: 9537216254 Enrollment ID: I20090416000148 |
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